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2926 Ne Flanders St Portland OR 97232-3259 | |
(503) 754-8802 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 2926 Ne Flanders St, Portland, Oregon |
Authorized Official Name and Position | Gerri Stanfield (LICENSED ACUPUNCTURIST) |
Authorized Official Contact | 5037548802 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6211 Ne Clackamas St Portland OR 97213-4919 Ph: () - | 2926 Ne Flanders St Portland OR 97232-3259 Ph: (503) 754-8802 |
NPI Number | 1235408659 |
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Provider Enumeration Date | 12/14/2011 |
Last Update Date | 12/14/2011 |
Identifier | Type | State | Issuer |
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1235408659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | AC00806 (Oregon) | Primary |
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